Suburban Xray in Medinah - Portable X-ray And/or Other Portable Diagnostic Imaging Supplier
Suburban Xray - NPI 1467590471
Suburban Xray is a Portable X-ray And/or Other Portable Diagnostic Imaging Supplier in Medinah, Illinois. Suburban Xray practices all healthcare services and medical treatments related to Portable X-ray And/or Other Portable Diagnostic Imaging Supplier. The NPI Number for Suburban Xray is 1467590471. The last update date is 2020-08-22.
Suburban Xray's current location address is Po Box 471, Medinah, Illinois. You can contact this provider via phone number 6305290077 and fax number 6305290087. The mailing address for Suburban Xray is Po Box 471, Medinah, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Suburban Xray |
|---|---|
| Address | Po Box 471, Medinah, Illinois |
| Phone Number | 6305290077 |
| Fax Number | 6305290087 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ballard A Pamela |
| Credentials | DC |
| Telephone Number | 6305290077 |
NPI Number Detail
| NPI Number | 1467590471 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 471 |
|---|---|
| City | Medinah |
| State | Illinois (IL) |
| Post Code | 60157 |
| Phone Number | 6305290077 |
| Fax Number | 6305290087 |
Provider's Primary Taxonomy Detail
| Speciality | Portable X-ray And/or Other Portable Diagnostic Imaging Supplier |
|---|---|
| Taxonomy | 335V00000X |
| Licence No | 58494275 |
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Definition: A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all st |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7223234 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Suburban Xray by the Centers for Medicare & Medicaid Services?
The Suburban Xray has been issued the NPI (National Provider Identifier) 1467590471. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Suburban Xray is located?
The Suburban Xray is situated at the following address: Po Box 471, Medinah, IL, 60157.
What is Suburban Xray's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Suburban Xray is Portable X-ray And/or Other Portable Diagnostic Imaging Supplier, and the corresponding taxonomy classification code for this specialized field is 335V00000X.
When did Suburban Xray receive its 1467590471 assignment?
The Suburban Xray was assigned its 1467590471 on 2007-02-02, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Suburban Xray, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Suburban Xray, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.